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1250 Georgetown Rd Lincolnton NC 28092-8940 | |
(704) 732-8326 | |
(404) 364-2901 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1250 Georgetown Rd, Lincolnton, North Carolina |
Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 4043642900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 1250 Georgetown Rd Lincolnton NC 28092-8940 Ph: (704) 732-8326 |
NPI Number | 1063858439 |
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Provider Enumeration Date | 05/13/2013 |
Last Update Date | 09/22/2021 |
Certification Date | 09/03/2021 |
Identifier | Type | State | Issuer |
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1063858439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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